Individual provider Active NPI

Kaitlin Engelke, AUD

  • Audiologist-Hearing Aid Fitter
  • Clinton, IA
National Provider Identifier
1124700422
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
206 4TH Ave S
Clinton, IA 52732-4311
Phone
(563) 242-7852
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

206 4TH Ave S
Clinton, IA 52732-4311

Mailing address

206 4TH Ave S
Clinton, IA 52732-4311
Phone (563) 242-7852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231027002812 IA Practitioner - Qualified Audiologist 9133575079 Reassigns benefits to 1 organization
I20240725002119 IL Practitioner - Qualified Audiologist 9133575079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Cities Hearing PLCGroup PAC ID 2466719950, 3 clinicians

Practice addresses (Care Compare)

206 4TH Ave S
Killean Audiology and Hearing Aid CTRS
Clinton, IA 52732-4311
Phone (563) 242-7852

4900 38TH Ave
Suite 4
Moline, IL 61265-6707
Phone (309) 762-6467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River Cities Hearing PLC CurrentSince Sep 20, 2023 Accepting new patients

Locations

206 4th Ave S
Clinton, IA 52732
Phone (563) 242-7852

4900 38th Ave
Ste 4
Moline, IL 61265
Phone (309) 762-6467

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1124700422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 4TH AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324311",
            "telephone_number": "563-242-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 4TH AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324311",
            "telephone_number": "563-242-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELKE",
        "first_name": "KAITLIN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.